Fluid-Infusing Inner Member for Reduced Blood Loss in Thrombus Aspiration
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Solution Overview
Problem
Existing medical catheters struggle to efficiently aspirate dense thrombi while minimizing blood loss during the procedure, as they often unintentionally aspirate blood when the catheter tip is not fully engaged with the thrombus.
Innovation Solution
An aspiration system with an inner member configured to fit within the catheter lumen, featuring a rigid distal portion that deploys outward to disrupt and segment the thrombus, and a proximal fluid flow to direct thrombus segments into the catheter while minimizing blood aspiration.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If the catheter tip is not fully engaged with the thrombus, then the catheter can be easily positioned, but blood is unintentionally aspirated during the procedure
Solution Approach 1:
The rigid distal portion is deployed in advance to mechanically engage and secure the thrombus before aspiration begins. This preliminary mechanical engagement ensures that the catheter tip remains firmly positioned on the thrombus throughout the aspiration procedure, preventing unintended blood aspiration while maintaining ease of initial catheter positioning
2Productivity
If a rigid member is deployed outward to disrupt the thrombus, then thrombus segmentation efficiency is improved, but the device complexity increases
Solution Approach 1:
The rigid distal portion is nested within the catheter lumen during storage and delivery, and only deploys outward when needed at the treatment site. This nesting approach allows the catheter to maintain a simple, low-profile structure during navigation while incorporating the thrombus-disrupting rigid member that enhances thrombus removal efficiency when deployed
3Speed
If fluid flow is directed proximally to direct thrombus segments into the catheter, then aspiration speed is improved, but the energy consumption increases
Solution Approach 1:
The system replaces reliance solely on high-energy suction with a combined mechanical-fluid approach. The rigid distal portion mechanically segments the thrombus into smaller pieces that are easier to aspirate, while the fluid flow provides only auxiliary directional guidance rather than requiring high energy input to move large thrombus masses
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The system effectively reduces blood loss and shortens aspiration time by mechanically breaking up thrombi and using fluid flow to direct thrombus segments into the catheter, enhancing the efficiency of thrombus removal.
Implementation Method 1
The rigid member defines a larger cross-sectional dimension than the elongated support structure, and may be deployed distally outward from the aspiration catheter lumen via a distal opening of the catheter to contact and disrupt (e.g., break-up or segment) the thrombus
Implementation Method 2
a clinician may direct a flow of a fluid, such as saline, from a plurality of openings defined by a proximal-facing surface of the rigid member, which may help direct portions of the thrombus into the distal opening of the catheter
Implementation Method 3
A suction force may be applied to the catheter lumen to aspirate the segmented thrombus portions into the distal opening of the catheter for removal from the vasculature
Data Source
AI summary
In some examples, a medical system includes an aspiration catheter defining a catheter lumen; and an inner member configured to be received in the catheter lumen and extend distally outward from a distal opening of the catheter, wherein the inner member comprises an elongated support structure configured to move axially within the catheter lumen; and a rigid member at a distal portion of the elongated support structure, wherein a proximal-facing surface of the rigid member defines one or more openings configured to deliver a fluid into vasculature of the patient to dilute or displace a volume of blood aspirated from of vasculature through the catheter lumen.


